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Table 3 Adjusted odds ratio of ever gone for mammogram and regular mammogram uptake

From: Multi-level determinants of breast cancer screening among Malay-Muslim women in Singapore: a sequential mixed-methods study

Variable

Ever Gone (n = 270)†

Regular (n = 230)‡

 

aOR (95%CI)

p-value

aOR (95%CI)

p-value

Age (ne = 267, nr = 230)

1.07 (1.01, 1.14)

 < 0.05

1.07 (0.98, 1.17)

0.15

Household Income (ne = 236, nr = 199)

    

 < S$2,000

–

–

Ref

 < 0.05

S$2,000–S$3,999

  

1.04 (0.43, 2.39)

 

S$4,000–S$5,999

  

3.06 (1.07, 8.79)

 

 ≥ S$6,000

  

3.76 (1.11, 12.72)

 

PMIR Punishing Allah Reappraisal (ne = 255, nr = 216)

    

Low

Ref

 < 0.05

–

–

Moderate

0.29 (0.12, 0.68)

   

High

0.32 (0.13, 0.79)

   

HBM Perceived Barriers, Structural (ne = 266, nr = 226)

    

Low

–

–

Ref

 < 0.10

Moderate

  

0.41 (0.17, 0.97)

 

High

  

0.40 (0.14, 1.14)

 

EHBM Perceived Importance: It is important for me to go for a mammogram to screen for breast cancer (ne = 255, nr = 218)

    

Agree

Ref

 < 0.01

–

–

Neutral

0.17 (0.07, 0.46)

   

Disagree

0.12 (0.02, 0.66)

   

HBM Cues to Action: My nurse or other health care provider had recommended mammogram to me (ne = 269, nr = 230)

    

Agree§

4.12 (2.04, 8.33)

 < 0.01

–

–

HBM Cues to Action: My personal doctor had recommended mammogram to me (ne = 269, nr = 230)

    

Agree§

–

–

3.45 (1.55, 7.66)

 < 0.01

HBM Perceived Benefit: Breast cancer if detected early can be cured (ne = 268, nr = 230)

    

Agree

Ref

 < 0.01

–

–

Neutral

0.26 (0.08, 0.88)

   

Disagree

0.05 (0.01, 0.30)

   

HBM Perceived Susceptibility: I worry about getting breast cancer all the time (ne = 267, nr = 229)

    

Disagree

–

–

Ref

 < 0.05

Neutral

  

3.19 (1.21, 8.43)

 

Agree

  

0.90 (0.38, 2.09)

 

IDI: I must have symptoms first before I decide to go for mammogram (ne = 267, nr = 229)

    

Disagree

Ref

 < 0.01

Ref

 < 0.01

Neutral

0.29 (0.10, 0.84)

 

0.50 (0.15, 1.67)

 

Agree

0.33 (0.16, 0.70)

 

0.19 (0.07, 0.51)

 

Modesty: When I am in a mixed gender gathering or outside of the home, I cover my entire body, except my hands and face (ne = 266, nr = 226)

    

Agree

Ref

 < 0.10

–

–

Neutral

3.07 (0.87, 10.83)

   

Disagree

0.50 (0.20, 1.28)

   
  1. Ref, Reference group.—Variables not found to be significantly associated with mammogram uptake in final model. †One missing value. ‡41 missing values as only participants aged above 52 years old who are eligible for regular screening are included in this analysis. ne, sample size for ever gone for mammogram. nr, sample size for regular mammogram. §Binary data, Agree vs Disagree. PMIR Psychological Measure of Islam Religiousness. HBM Health Belief Model. EHBM Extended HBM. IDI In-depth interviews. HBM Perceived Barriers, Structural is a composite score for 3 variables: i) Mammogram is expensive, ii) It is inconvenient for me to go to the clinic or hospital for mammogram, and iii) It is difficult for me to take time to go to the clinic or hospital for mammogram